Anibas Jakob, Schreiner Cody, Elliot Jacob, Prunuske Amy, Broaddus Michelle
University of Minnesota, Minneapolis, Minnesota,
Medical College of Wisconsin-Central Wisconsin, Wausau, Wisconsin.
WMJ. 2025;124(2):111-115.
To help combat a shortage of child and adolescent psychiatrists and assist primary care providers in managing pediatric mental health care cases, the Medical College of Wisconsin established the Wisconsin Child Psychiatry Consultation Program. The program provides educational support to primary care providers with mild to moderate pediatric mental health concerns via phone or email consultation with board-certified child and adolescent psychiatrists, as well as offering on-demand didactic training sessions and assistance locating therapeutic resources.
We sought to assess participating primary care clinicians' satisfaction with consultations and their perceptions of program services, specifically its impact on self-reported diagnostic decision-making and patient outcomes.
Primary care providers' responses to both post-consultation and annual surveys were analyzed to determine the program's impact. Five survey questions used a 5-point Likert scale, and 1 "select-all-that-apply" question was included on the post-consultation survey.
Overall, 99.2% of respondents were satisfied with their most recent consultation. Additionally, mean Likert scale scores assessing provider confidence after program enrollment in the areas of diagnosing (mean 3.7, SD 0.8), prescribing medications (mean 3.6, SD 0.9), and managing child mental health problems (mean 3.5, SD 0.9) were all significantly greater than provider confidence before enrollment ( < 0.0001 for all).
Our study revealed that most primary care providers utilizing the Wisconsin Child Psychiatry Consultation Program find it a valuable resource for diagnostic decision-making and improving patient outcomes. This suggests that expanded utilization of the program should be encouraged.
为应对儿童和青少年精神科医生短缺的问题，并协助初级保健提供者管理儿科心理健康护理病例，威斯康星医学院设立了威斯康星儿童精神病学咨询项目。该项目通过与获得委员会认证的儿童和青少年精神科医生进行电话或电子邮件咨询，为有轻度至中度儿科心理健康问题的初级保健提供者提供教育支持，同时还提供按需教学培训课程以及协助寻找治疗资源。
我们旨在评估参与项目的初级保健临床医生对咨询的满意度以及他们对项目服务的看法，特别是其对自我报告的诊断决策和患者治疗效果的影响。
分析初级保健提供者对咨询后调查和年度调查的回复，以确定该项目的影响。五个调查问题采用5点李克特量表，咨询后调查中包含一个“多选”问题。
总体而言，99.2%的受访者对他们最近的咨询感到满意。此外，在项目注册后，评估提供者在诊断（平均3.7，标准差0.8）、开药（平均3.6，标准差0.9）和管理儿童心理健康问题（平均3.5，标准差0.9）方面信心的李克特量表平均得分均显著高于注册前的提供者信心（所有P值均<0.0001）。
我们的研究表明，大多数使用威斯康星儿童精神病学咨询项目的初级保健提供者认为该项目是诊断决策和改善患者治疗效果的宝贵资源。这表明应鼓励扩大该项目的使用。
